Oncology imaging more precise, visualization more dynamic

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BrainLab AG iPlan RTBrainLab AG (Booth #3693) is highlighting its complete iPlan RT treatment planning platform that offers clinicians and physicists the ability to combine various radiotherapy and radiosurgery treatment modalities, improved workflow, and increased visibility throughout the planning process. iPlan RT is fully integrated in the BrainLAB Intelligent Treatment Framework that brings together radiotherapy with surgery and chemotherapy in a comprehensive oncology approach. Clinicians are able to use iPlan RT to leverage all available patient images to define the individual’s disease. iPlan RT Dose software allows physicians to choose between all available radiation treatment modalities such as conformal beam, dynamic conformal arc, and intensity modulated radiation therapy (IMRT), or a combination of these different modalities, which offers clinicians the flexibility to compose the individual treatment approach.

The company also is demonstrating the capabilities of its Novalis Shaped Beam Surgery systems. The integrated treatment system shapes beams of focused high-energy radiation from all angles to deliver noninvasive, precise treatments that shrink or control the growth of tumor cells of the brain, head, neck, spine, liver, lung, and prostate. Novalis also is used to treat arteriovenous malformations and functional disorders. The technology offers the benefit of limiting harm to surrounding tissue. Novalis offers a wide range of treatment options for a large number of indications and is able to treat with single stage and in a frameless or frame-based mode. It also offers the option to treat with circular beams, conformal beams, dynamic conformal arcs, and IMRT.

GE Healthcare (Booth #6947) is displaying the integration of its Advantage 4D and AdvantageSim technology, fusing the capability of 4D imaging and planning for quick and precise radiotherapy. AdvantageSim MD accomplishes motion management by integrating 4D data into the planning process and providing multi-modality/multi-phase simulation for the optimal use of treatment methods such as IMRT and image-guided radiotherapy (IGRT). The AdvantageSim MD multidimensional display presents a real-time view of the anatomy in motion, giving radiation oncologists the ability to see the true shape of the tumor and critical structures, evaluate its full dynamic range of motion, and select a segment of the respiratory cycle for treatment. Clinicians can then export the selected phase to the treatment planning system.

Siemens Medical Solutions (Booth #4114) is showcasing the MVision Megavoltage Cone Beam Imaging package. MVision is an IGRT system that provides volumetric in-line target imaging that makes it possible for the megavoltage (MV) source used for treatment to also create a 3D image of the patient. This enables clinicians to “see inside” the patient at the most appropriate moment to safely deliver therapy. Designed to complement a clinic’s oncology workflow, MVision fully integrates and automates all processes, including acquisition, reconstruction, registration, assessment, patient positioning, and clinical review. Using the system, therapists are able to calculate 3D offsets, send them to the treatment couch to compensate for daily variations, and safely deliver therapy.

Thinking Systems (Booth #2787) is highlighting its work in integrating its Thinking PACS and with radiation treatment systems. Currently, PACS is new to radiation treatment, and treatment is new to PACS. Thinking Systems has begun such integration work at a few of its selected show sites to work with leading radiation treatment vendors such as Varian. 

Varian Medical Systems (Booth #8533) is exhibiting its IGRT system, On-Board Imager, which offers three imaging modalities that make it possible to pinpoint the exact location of the targeted tumor every day prior to treatment; note any changes in tumor size, shape, or position; and track tumor motion to enhance treatment precision.

Varian also is highlighting its Eclipse treatment planning program, which is capable of producing plans for conventional radiotherapy, IMRT, and IGRT, plus planning for brachytherapy and proton radiotherapy. Eclipse now incorporates new tools for 4D planning that takes tumor motion into account.